Friday, November 9, 2018

Pic from Wikipedia


A 65 year old man presented with severe right sided headache for 3 weeks. This is the first episode and is associated with blurring of the vision of the right eye. MRI brain normal however ESR persistently high at 110.

What is the cause of the blurring of the right eye ?

What is the underlying cause ?

What is your next step of investigation ?


Sunday, October 18, 2015

MMed & MRCP Mock Exam in Penang 19 Nov 2016 G Hotel

It has been sometime since I wrote in this blog.
Just a short msg that there will be a MMed & MRCP Mock Exam for Neurology in 19 Nov 2016. Those interested pls email me at thienthienlim@gmail.com

Thank you !



Sunday, September 16, 2012



For SALE !!!

Brand new Litmann II SE blue for sale for only RM200.
Email me if interested : thienthienlim@gmail.com


Thursday, March 15, 2012

MRCP PACES

Please look at this patient's tongue and proceed with the examination.

What would you do next and what are your differential diagnosis ?


Friday, February 17, 2012

MCQ for medical students and MRCP Part 1 or 2a

A 35 years old Malay lady presented with weakness of the legs when climbing stairs over the past 2 weeks. She has had no previous illness and are not on any medications. When she came to the outpatient clinic, you noted the above findings. Which of the following is true regarding the patient.

A. A DMARDs should be started immediately
B. The patient need to be counseled regarding risk of similar illness in her siblings and future offsprings
C. The lesions in the picture is a violaceous rash which would be very itchy
D. Intralesional triamcinolone would be part of the treatment
E. This patient would need steroids